Posted by emporySerry on September 11, 19113 at 05:19:42:
In Reply to: ゴローズ posted by ybemueph on May 24, 19113 at 21:19:45:
Sound waves are used to create a video image of the patient's heart, which helps the doctor see how well the heart is pumping. The doctor measures the percentage of blood pumped out of the patient's left ventricle (the main pumping chamber) with each heartbeat - this measurement is call the ejection fraction. An ejection fraction is a crucial measurement which determines how well the heart is pumping. A healthy heart pumps out approximately 60% of the blood that fills the ventricle with each beat - a healthy heart has an ejection factor of 60%. Chest X-ray - The images help the doctor check the state of the patient's heart and lungs. A chest X-ray may also help a doctor determine whether the patient has any congenital heart defects. Other conditions that may explain the signs and symptoms might also be detected. Tilt-table test - If the patient experiences fainting spells, dizziness or lightheadedness, and neither the ECG nor the Holter revealed any arrhythmias, a tilt-table test may be performed.
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This monitors the patient's blood pressure, heart rhythm and heart rate while he/she is moved from a lying down to an upright position. A healthy patient's reflexes cause the heart rate and blood pressure to change when moved to an upright position - this is to make sure the brain gets an adequate supply of blood. If the reflexes are inadequate, they could explain the fainting spells, etc. Electrophysiologic testing (or EP studies) - This is an invasive, relatively painless, non-surgical test and can help determine the type of arrhythmia, its origin, and potential response to treatment. The test is carried out in an EP lab by an electrophysiologist, and makes it possible to reproduce troubling arrhythmias in a controlled setting. During an EP study: The patient is given a local anesthetic. After an initial puncture an introducer sheath is inserted into a blood vessel. A catheter is inserted through the introducer sheath and is threaded up the blood vessel, through the body and into the right chambers of the heart. The electrophysiologist can see the catheter moving up the body on a monitor.
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